After 1 week of continuous mental confusion, an elderly African ...

[NClaborn]

After 1 week of continuous mental confusion, an elderly African American client is admitted with a preliminary diagnosis of major neurocognitive disorder due to Alzheimer's disease. What should cause the nurse to question this diagnosis?
 
  A. Neurocognitive disorder does not typically occur in African American clients.
  B. The symptoms presented are more indicative of Parkinsonism.
  C. Neurocognitive disorder does not develop suddenly.
  D. There has been no T3 or T4 level evaluation ordered.

Question 2

A client diagnosed with neurocognitive disorder due to Alzheimer's disease has impairments of memory and judgment and is incapable of performing activities of daily living. Which nursing intervention should take priority?
 
  A. Present evidence of objective reality to improve cognition
  B. Design a bulletin board to represent the current season
  C. Label the client's room with name and number
  D. Assist with bathing and toileting

[djofnc]

Answer to Question 1

ANS: C
The nurse should know that neurocognitive disorder (NCD) does not develop suddenly and should question this diagnosis. The onset of NCD symptoms is slow and insidious and is unrelated to race, culture, or creed. The disease is generally progressive and debilitating.

Answer to Question 2

ANS: D
The priority nursing intervention for this client is to assist with bathing and toileting. A client who is incapable of performing activities of daily living requires assistance in these areas to ensure health and safety.

[NClaborn]

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[Bigfoot1984]

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